NJNICUCCRN

NJNICUCCRN has 23 years experience and specializes in NICU.

Latest Activity

1. HOB elevation

   NJNICUCCRN replied to NJNICUCCRN's topic in NICU

   I didn't mean to write a lengthy post but.... I am well aware of the AAP guidelines on safe sleep environments. In my 30 years of level 3 NICU experience I have seen just a handful of babies go home in elevated, prone positions for sleep. Not just f...

2. HOB elevation

   NJNICUCCRN posted a topic in NICU

   Our NICU is looking for a product to recommend to parents when babies are sent home with the HOB elevated. Has anyone used a wedge or riser under crib legs that they feel is safe and effective?

3. Advice about last night

   NJNICUCCRN replied to Kaligirl02's topic in NICU

   I think your assessment of the baby was spot on! I had a similar situation many years ago and I too felt pressured to do something that I felt was not necessary. That never happened again :)

4. HFOV

   NJNICUCCRN replied to NJNICUCCRN's topic in NICU

   I too think it sounds rediculous! We don't use z-flow mattresses but use 5" radius pads under head/chest when baby is prone. They are taken out for x-rays. I KNOW it doesn't alter the delivered breaths but I need to find the answer in text to convin...

5. HFOV

   NJNICUCCRN replied to NJNICUCCRN's topic in NICU

   Some feel that a gel will"absorb" the bounce. I feel like it is softer than tha standard mattress and better for the baby

6. HFOV

   NJNICUCCRN replied to NJNICUCCRN's topic in NICU

   A resp therapist told me it was contraindicated but couldnt give me any research/rationale. She said the gel pillow under head/chest will absorb the "bounce". I feed like the "bounce" is on the inside, no?

7. Which Milk Warmer Do You Use?

   NJNICUCCRN replied to mgturtle's topic in NICU

   We use penguins. Love them!!

8. HFOV

   NJNICUCCRN posted a topic in NICU

   Just wondering... Does anyone use gel-pillows/pads under patients on HFOV?? Has anyone heard that it is contraindicated??

9. Some questions about gentamicin...

   NJNICUCCRN replied to summerlove2's topic in NICU

   We also use the NeoFax and we receive it at no cost from Abbott Nutrition.

10. OGT or NGT for neonates?

    NJNICUCCRN replied to Bortaz's topic in NICU

    We use oral tubes if it is a tiny baby on cpap that needs a real good seal with the prongs. Once the baby begins to gag on the OG tube, it needs to be switched to nasal

11. CBC clotting

    NJNICUCCRN posted a topic in NICU

    We have been having many CBC specimens clot! We are tracking the number clotted and are coming up with about 7-9%! These are all specimens obtained by heelstick. Anyone else have this problem in their unit???

12. UAC's

    NJNICUCCRN posted a topic in NICU

    Our unit just recently started using only 10ml syringes for anything pushed in our uac's. Anyone else using this size syringe? (We were told that the manufacturer reccommends this size)

13. Earliest viable gestational age?

    NJNICUCCRN replied to everthesame's topic in NICU

    Never a 20 weeker! The earliest i have seen is 23-plus. We are not aggressive with under 24 weeks unless the baby is very active at birth.

14. the best ETT securing methods and devices

    NJNICUCCRN replied to ligucis21's topic in NICU

    We just use tape in our unit. I have worked in 2 nicus and we have trialed about 3-4 different methods but always come back to tape. If we could get together and come up with something that really works, we'd be able to retire :)

15. Babies discharged on caffeine

    NJNICUCCRN replied to nicunana's topic in NICU

    Our babies rarely go home on caffeine but sometimes we use theophylline. Maybe they would pay for that med instead. Just a thought :)